no, the CDC recommended not to breastfeed immediately after the vaccine so that the anti-microbials in the breastmilk won't kill the vaccine rota virus. So we are talking about holding off for a couple of hours, not on principle.

Exclusively breastfed babies are as well protected from severe rotavirus as vaccinated babies are. However, this protection goes away as soon as the baby gets any solids (or formula). So for protection extending into the second year of life the vaccine may well be worth it.

Do you have information on why the risk of intussuseption increases after 25 weeks sidge? Would that date remain the same regardless of feeding method, weight, whether the baby was born at term, etc?

Are you obliged to inform parents about the porcine circovirus contamination? I appreciate that it is mentioned in the package insert , but that document is pretty long and I don't know how many parents really read all 22 pages of it.

My baby was due to have the rotavirus vaccine today but I have held off for a few days until I have had time to do some research. My baby has reflux and therefore I would not observe many i of the early indications of intussuseption. Since the vaccine was only available yesterday (if i had given birth a week earlier it would not have been offered) and as the outcome for intussuseption detected late is concerning I am considering declining.

It wouldn't be very helpful for GP's to make a feature of the circovirus contamination, as there are no known health consequences. Mentioning it would just generate unwarranted unease and suspicion. Bit like mentioning it on this thread.

Yes, stargirl they do. I just think that parents should be informed very clearly at the time of vaccination about the three issues; viral shedding, contamination with porcine circovirus, and to be vigilant for symptoms of intussuseption.

I appreciate that the information is on the package insert but I wonder how many parents read the whole insert before consenting to the vaccine.

At one point the FDA actually withdrew their recommendation for Rotarix due to the porcine circovirus contamination - although I believe they have reinstated it now.

Well I suppose it is a tricky one really. The FDA don't seem to think the contamination is an issue now, but when the analysis was done, nobody expected to find the porcine circovirus there and it shouldn't be there. I think parents have a right to know of its existence , and it seems that the manufacturers agree with me because they mention it in the package insert.

I know when I took my PFB for her baby jabs that I wouldn't have imagined in a million years that a vaccine could contain foreign body DNA.

I think people have a right to know these things. It is called informed consent and forms one of the foundations of medical ethics.